Affidavit For The Partial Diminution Of A Water Right Certificate Form - Oregon Page 2
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1
2AFFIDAVIT FOR THE PARTIAL DIMINUTION OF A
WATER RIGHT CERTIFICATE
(CONTINUED)
7.
I/We agree that if this change is approved, it is permanent and the right to the use of water from
___________________________________________ (source) cannot be changed back to the primary
source unless otherwise provided by law. I/We also agree that so long as there is sufficient water available
from the new primary source, I am/we are not entitled to use any water from
__________________________________________ (source) for primary irrigation of these lands.
__________________________________
___________________________
Signature of legal owner as listed on deed, or authorized agent
Date
__________________________________
___________________________
Signature of legal co-owner as listed on deed
Date
(if applicable)
Subscribed and Sworn to Before Me this _______ day of _____________________________, 200____.
_____________________________________
Notary Public for Oregon
My Commission Expires _____________________________________
PLEASE ATTACH A LEGIBLE COPY OF : 1) A DEED WHICH LISTS LAND OWNERS AND
INCLUDES A LEGAL DESCRIPTION OF AFFECTED LANDS, AND 2) AN ADJUDICATION MAP,
WATER RIGHT FINAL PROOF MAP, OR A TAX LOT MAP WITH THE PORTION OF THE WATER
RIGHT AND/OR LANDS TO BE DIMINISHED CLEARLY DRAWN AND IDENTIFIED. IF ACTING
AS AN AUTHORIZED AGENT, INCLUDE COPY OF POWER OF ATTORNEY OR OTHER
DOCUMENTS GRANTING AUTHORITY TO ACT ON BEHALF OF LEGAL OWNER(S) AS LISTED
ON THE DEED.
Affidavit-Partial Diminishment
Page 2 of 2
July 2009
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